Individual
SAMANTHA BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
34901 DIVISION RD, RICHMOND, MI 48062-1559
(586) 727-7562
Mailing address
256 CROCKER BLVD, MOUNT CLEMENS, MI 48043-2508
(586) 612-1262
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008346
MI
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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